Remote Claims Resolution Specialist I

Innovaccer Inc.; United States; Remote; USD 25,000 - 39,000; Full time

Benefits offered by this job

Paid time off

Parental leave

Incentives & recognition

Health insurance

Job summary

Innovaccer Inc. is seeking a Claims Resolution Specialist I to process medical claims in line with industry guidelines and client-specific practices.

You will work in a remote-friendly environment, handling denials, appeals, and AR follow-up for a national healthcare client base across CPT/ICD-10 coding and billing platforms. Ideal candidates have 3+ years in claims resolution or medical billing, experience with Athena, and strong communication skills.

Qualifications

• 3+ years in claims resolution or medical billing.
• 2+ years on Athena platform preferred; EMR experience with Cerner/NextGen/EPIC is a plus.
• Certification in medical billing preferred.
• Working knowledge of CPT, ICD-10, and medical terminology.
• Experience with follow-up processes and AR/policy procedures.
• HIPAA compliance experience and strong communication skills.

Responsibilities

• Process AR follow-up and denial management per best practices.
• Review claim edits and perform appeals with payer knowledge across denials.
• Read EOBs and interpret financial components (co-pays, deductibles, co-insurance).
• Report issues and trends to leadership; communicate with insurers via portals.
• Meet productivity targets while maintaining accuracy and quality.

Skills

Attention to detail

Excellent communication

Independent work

Problem solving

Billing knowledge

Education

Bachelor’s degree

Medical billing certificate

Tools

Athena billing platform

Cerner

NextGen

EPIC

Microsoft Office (Word/Excel)

Job description

Innovaccer Inc. is seeking a Claims Resolution Specialist I to process medical claims in line with industry guidelines and client-specific practices.

You will work in a remote-friendly environment, handling denials, appeals, and AR follow-up for a national healthcare client base across CPT/ICD-10 coding and billing platforms. Ideal candidates have 3+ years in claims resolution or medical billing, experience with Athena, and strong communication skills.